CAJ | 학술논문

目的：观察新型护理用具在眼部用药中的应用效果，探索更为安全、规范、高效的护理工作方法。方法选取2012年6月—2013年6月眼科住院患者296例，采用随机数字表法分为试验组155例和对照组141例。对照组为传统的眼药水使用方法，护士领药后按照医嘱发放给患者保管，护士按照治疗单每日按时到患者床边取用。试验组设计增加眼药水存放盒和眼药水彩色提示卡，将提示卡悬挂在病房眼药水存放盒上方，护士执行滴眼药水治疗时配合使用。比较两组患者完成滴眼药水的时间、不良事件发生率、患者对治疗方法和作用的知晓率及对护理工作的满意度。结果试验组完成滴眼药水的平均工作时间为（5．76±1．38）s，对照组为（11．72±6．09）s，差异有统计学意义（t＝11．3440，P＜0．01）；试验组发生不良事件2例，对照组29例，差异有统计学意义（χ2＝29．2628，P＜0．01）；试验组患者的满意度评分为（99．13±1．42）分，对照组为（94．32±3．54）分，差异有统计学意义（t＝－15．0930， P＜0．01）。结论使用眼药水存放盒和提示卡提高了护士执行滴眼药水治疗的工作效率，降低了眼科不良事件的发生率，提高了工作质量，值得在临床上推广使用。
목적：관찰신형호리용구재안부용약중적응용효과，탐색경위안전、규범、고효적호리공작방법。방법선취2012년6월—2013년6월안과주원환자296례，채용수궤수자표법분위시험조155례화대조조141례。대조조위전통적안약수사용방법，호사령약후안조의촉발방급환자보관，호사안조치료단매일안시도환자상변취용。시험조설계증가안약수존방합화안약수채색제시잡，장제시잡현괘재병방안약수존방합상방，호사집행적안약수치료시배합사용。비교량조환자완성적안약수적시간、불량사건발생솔、환자대치료방법화작용적지효솔급대호리공작적만의도。결과시험조완성적안약수적평균공작시간위（5．76±1．38）s，대조조위（11．72±6．09）s，차이유통계학의의（t＝11．3440，P＜0．01）；시험조발생불량사건2례，대조조29례，차이유통계학의의（χ2＝29．2628，P＜0．01）；시험조환자적만의도평분위（99．13±1．42）분，대조조위（94．32±3．54）분，차이유통계학의의（t＝－15．0930， P＜0．01）。결론사용안약수존방합화제시잡제고료호사집행적안약수치료적공작효솔，강저료안과불량사건적발생솔，제고료공작질량，치득재림상상추엄사용。
Objective To observe the application effect of new nursing appliances in the department of ophthalmology, and to explore more safety, normative, and efficient nursing method.Methods Totally, 296 inpatients from June 2012 to June 2013 in Department of Ophthalmology in our hospital were randomly divided into experimental group ( n=155 ) and control group ( n=141 ) .The patient of control group applied the traditional eye drops use , which nurse took medicine according to the doctor′s advice and kept it reserved by patients, and the drug putted on patient′s bedside.The experimental group was designed to reserve the eye drops in storage box together with color cue cards , which was hung up aside the patients clearly showed the three-dimensional map, the name, and the eye drops use time.We compared the time of eye drop, the rate of adverse events , patient′s awareness rate of treatment methods and effects , and the patient′s satisfaction of nursing job.Results In the experimental group, eye drops work time was (5.76 ±1.38) s, which was significantly less than that of the control group (11.72 ±6.09)s,the difference was statistically significant (t=11.344 0,P<0.01).The number of adverse events in the experimental group (2) was markedly lower than the control group (29) (χ2 =29.262 8,P<0.01).Patients satisfaction improved significantly in the experimental group (99.13 ±1.42) scores while the control was (94.32 ±3.54) scores (t =-15.093 0, P<0.01). Conclusions The use of eye drops storage box and cue card improves the eye drop treatment efficiency for nurse, reduces the incidence of adverse events in Department of Ophthalmology , and improves the quality of ocular drug application , deserving to be applied in clinical practice .